HomeMy WebLinkAbout2006-P10452 - pool outdoors in ground PERMIT
CIT` t ORONO Permit Number:
2750 JeJley Parkway- PO Box 66 P10452
Crystal Bay, Minnesota 55323 Permit Type:
Accessory Structures
(952) 249-4600 Date Issued:
11/9/2006
SITE ADDRESS: 3015 Watertown Rd Unit#
Long Lake,MN 55356
PID: 04-117-23-22-0030
DESCRIPTION:
Proposed Use: Residential Census Code 329
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Pool-Outdoors-In Ground
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00
Plan Review Fee: $ 254.31
State Surcharge Fee: $ 12.50
Misc.Fee:
TOTAL FEE: $ 658.06
APPLICANT: Prestige Pools OWNER: Jeffrey&Anne Williams
3 E.Little Canada Rd 3015 Watertown Rd
St.Paul,MN 55117 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNA SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: $ ��8 �� Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: � 5 �'/-�/f�2Tr7�t,��/ A,J ZIP: -5 s3S'L--
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YesNo if yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
szzfficient on-site parking is available. tvon-permitted events will not be allowed.
NAME OF OWNER: .�T���! Lk-) t L L 1 S PHONE: (home)
(work) '0/"?-- 7 /7
MAILING ADDRESS: 34215 t//0X /' 1i22kit-CITY: ZIP: 5535
CONTRACTOR: �,Pfs/� � S PHONE: S/ L�lc� i3fi�i1
CONTACT PERSON: MOBILE/PAG)YR:
MAILING ADDRESS: err i� - l•�.�.44A- �CITY:57-/-W't, ZIP: --5,
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detail): -?vyyn •�f�tn•� 'u'i�.�-� r� �'�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): S exW-—
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: A-
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be
informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or 1roperty tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as publ ic,private or confidential. Upon his further request,an individual who is the subject of
stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or publ is data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
S ubd.4.Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
concerning himself To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data,but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First Nliddle Last
3 4?�- 6 :re-
Address
City State Zip Phone
I understand my rights as stated above.
Signa e
Reset Form 32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 06 Wwa,v iu 06,n a
PID:
DESCRIPTION OF WORK: I
ZONING REVIEW BY.• DATEAPPROVED: (01'9140(0
BUILDING REVIEW BY.- &
DATEAPPROVED:FEES TO TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No ✓ SITEINSPECTION
Number of SAC Units OTHER (spec)
-------------------____ _ _ _ __-------_______-----------------------�__�_________-----------
ZONING CHECKLIST Zoning District►Z — ( B
Fire Department: Post Office: School District:
Lot Area: Sgft. Acres Width Depth
Survey Submitted. Yes—z No Date of Survey: G 2—
Proposed Setbacks:
Front(Lake): h A Right-8 a :
Rear�1 : f �afF�Sicl�e� 1�0 t
/ s �
Adjacent Structures: Wetland: 70 f
Building Height: Def. Hgt. t1,0* Peak Hgt.
Lot Coverage: jJ&
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: hi4 MCWD Permit:
Avg. Setback: BhtSetback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house): WeP?+yA b AW A.%&sg%w.k- c ,et kerl 1p IQ
G — c
CLNia /" vi Q-a-&s 40 CoLy—nayl — ivt �--dry✓'
BUILDING REVIEW CHECKLIST
UBC: — CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 2 S,O U O
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
----.,Hardcover Removal Mechanical Water Connection
bol Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
all Board (Mfg.) ell(State Permit)
Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
34
ADA TIMECITY OF ORONO *06;CALLED IN INSPECTION N TICE SCHEDULED PERMITNO. Sd Z COMPLETED /
ADDRESS 3 P
OWNER CONTR.
TELEPHONE N0. 167
DESCRIPTION
01 FOOTING 11 MECHANICAL I 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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WIC WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
Y
CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Cj BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor op site:br- �j
Inspector. /��t1� , "
White Copyllnspectoes File Canary Copy/Site Notice
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the nature group , inc. I d••� Sheel
landscape design and build Williams Residence 1
alp Hoa,s,sbw 3015 Watertown Road.Orow,MN 55356 of
srress
1 w.e,zaza-ow .:o,2ms.eou +.d,.+sx erreyc
3��5✓ w��� i 1�e�'
Established in 1962
LOT SURVEYS COMPANY , INC . INVOICE NO. 61768
F.B.NO. 902-57
LAND SURVEYORS SCALE: 1 100,
REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA 0 Denotes Iron Monument
7601 73rd Avenue North (763)560-3093 ❑ Denotes Wood Hub Set
Fax No. 560-3522 for excavation only
Minneapolis, Minnesota 55428 x000.0 Denotes Existing Elevation
3 u r u P J u r s C� P r t ft r tt P 000.0 Denotes Proposed Elevation
Denotes Surface Drainage
TONY EIDEN COMPANY NOTE: Proposed grades are subject
to results of soil tests.
Proposed building information
Watertown Roa d must be checked with approved
EB building plan and development or
975.62 976.25 9 grading plan before excavation
9and construction.
999.49 q��.1 Proposed Top of Block
Proposed Garage Floor
01V Proposed Lowest Floor
Type of Building
978.3
FuLuins � 1.}r inlla�-;r�vr
DO
0
co
N 3 Property located in Section
I
977 4, Township 117, Range 23,
Hennepin County, Minnesota
I
PP
976.6 NOTE:Check for
;; 1.7n.any f l flood tel evat Q � -
l� 9734 "tfl,n u-tmmco
-r� S� "S L I/VI i i 12' Grovel Drive
r`
1 cNo I 10- - ._DL_ ITLGRADING L, N
t 4(4 977.0
to 'R V6 NSi
t
BY
974.3 977.5
NOTE:Building dimensions shown exclude
K of z t r' >� + r";4-,Li,'1 �' N Ic --10 g78.2 all brick ledges. 990.6
r� b„i . .� I O
Top h-on
i '{.! :/i I' t,:. I I 990.9 C 9.94.24
990.7 0
iI f3. �� li" I 982 8 994.5
PP A
��<r' 994.8
.982.01 I h00 20.. 995.1
1 ,`o • Qi
I
Overhead 993.0 8
� ' ,/
I I O Wiresd g g 1 I a, 1,
984.3 h I 9933 'oa• a+ 96.0
993 7 _
Oroinage &. \ 9928 N
._
Uhhty E sement 99 I ' Q,r'I� 995.5 ��� 995.9
986.8
991.4
--10 ea 5 s.71 i C) �'or?eN p ao• U `�.
998.4 tis. 993.6 995.5
987.9 988.6. 997.7 185.64 a -� D .� 995.8
O
O i O 998.3we#
O X997.7 •998994.8
a ' I 993.0 Proposed
(D 1990.2 996. .994.7 06 967 Residence s 995.1
O 997.9 994.0 PrOP 01 S : `lg. �"
66.17 995. 991.5 ok 994.0 tY
See
993.0 Defoil �6 1 997.9 / 992.4 3' 'm `993.5,
996.8 1 EGk__ 3 O Top Iron
969.4 991.9 0 . 994.7 Gj� 991. �� 991.3 N�4 994.37
O 24.� -9931 / �� 990.6 0 ,r
t 6.6 m / / 3+ .
--- 990.6 990.7
I i
993.5\ 2 990.3 1 54 B De t a 11 989.3 0 L -
Lot 2, Block 3, OLD CRYSTAL BAY ROAD SECOND ADDITION
The onlyeasements shown are f`r II of record or information
P
provided by client.
We hereby certify that this is a and correct representation of
a survey of the boundaries of the above described land and the
location of all buildings and visible encroachments, if any, from or on
said land.
Surveyed by us this 4th day of January 20-9-2 . 1
i
t
Rev Drawn By 9r. „I,G.,►,�,d.,, Signed_ --til-
File
t,p���
'' f
---- - File Name ocb2-3fb90257inv61768.s90 Charles F. Anderson, Minn. Reg. No.21753 or
- ---- - Gregory R. Prasch, Minn Reg No. 24992